Connor Tyskiewicz, SUDPT

NPI 1922892488 · on the registry since 2025 · sole proprietor

Practice

Address: 11719 Ne 95th St Ste Ad
Vancouver, WA 98682
Phone: (360) 984-5511
Organisation at this address: Vancouver Primary Care Ps
Lifeline Connections Medical Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington